NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

ELEMENTAL CENTER LTD.
14484 JOHN HUMPHREY DR
ORLAND PARK, IL60462-2638
 Phone: 708-364-0580
 Fax: 708-364-0480
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for ELEMENTAL CENTER LTD.

NPI # 1033410477
LBN Legal business name ELEMENTAL CENTER LTD.
Authorized official MARTINS ADEOYE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 11/16/2010
Last updated 10/22/2024 - More than a year ago
Identifiers
IL License # 036103889
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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